A. In order to meet N.C. Medicaid state residency requirements, all applicants must provide two documents listed in MA-3335, State Residence, II.A.7 or sign a declaration, subject to prosecution, that they cannot provide two documents.
C. Applicants must first be asked to provide two of the documents listed in II.A.7. before a declaration, subject to prosecution, stating they do not have two of the documents listed (Attachment 3), is used to verify state residency.
DATE: AUGUST 4, 2006
Manual: Family and Children’s Medicaid
Change No: 10-06
To: County Directors of Social Services
Effective: September 1, 2006
The purpose of this change notice is to provide policy clarifications in MA-3335, State Residence. The following changes are included:
Declarations signed by someone who has a social, family, or economic relationship with the applicant and who has personal knowledge of the applicant’s intent to live in North Carolina permanently or for an indefinite period of time (Attachment 2), are not subject to prosecution.
This change is effective September 1, 2006. Apply this change to applications started on or after September 1, 2006.
Remove: MA-3335, State Residence, pages 1 – 8, 13 & 14.
Insert: MA-3335, State Residence, pages 1 – 8, 13 & 14.
If you have any questions regarding this information, please contact your Medicaid Program Representative.
(This material was researched and written by Charlotte Gibbons, Medicaid Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.